Fukumoto Yusuke, Tsuji Yoshihiro, Kakuda Akihiro, Hori Ryuji, Kudo Shintarou
Graduate School of Health Sciences, Morinomiya University of Medical Sciences: 1-26-16 Nankoukita Suminoe-ku, Osaka-shi, Osaka 559-8611, Japan.
Keimoto Orthopedic Rehabilitation and Osteoporosis Clinic, Japan.
J Phys Ther Sci. 2024 Mar;36(3):111-116. doi: 10.1589/jpts.36.111. Epub 2024 Mar 1.
[Purpose] We aimed to determine the autonomic response in patients with rotator cuff tear-related nocturnal pain using nonlinear analysis of heart rate variability. [Participants and Methods] Twenty-eight patients with nocturnal pain who were diagnosed with a rotator cuff tear and received steroid injections, and whose nocturnal pain improved, were divided into a control group (14 patients) and a failure group (14 patients). Pulse wave was measured continuously using BACS Advance equipment (TAOS Co.) for a total of 17 min: 5 min before isometric hand grip, 2 min during isometric hand grip, 5 min after isometric hand grip, and 10 min after isometric hand grip. The autonomic nervous system activity was assessed using detrended fluctuation analysis and approximate entropy. [Results] The α values obtained from the detrended fluctuation analysis were significantly higher in the failure group than in the control group at each measurement period. The approximate entropy was normal in 12 (85%) patients in the control group and six (42%) patients in the failure group; it was abnormal in two (15%) patients in the control group and eight (58%) patients in the failure group. [Conclusion] Among patients experiencing nocturnal pain, several have abnormal autonomic response during isometric hand grip.
[目的]我们旨在通过心率变异性的非线性分析来确定肩袖撕裂相关夜间疼痛患者的自主神经反应。[参与者与方法]28例被诊断为肩袖撕裂并接受类固醇注射且夜间疼痛得到改善的夜间疼痛患者被分为对照组（14例患者）和无效组（14例患者）。使用BACS Advance设备（TAOS公司）连续测量脉搏波共17分钟：等长握力前5分钟、等长握力期间2分钟、等长握力后5分钟以及等长握力后10分钟。使用去趋势波动分析和近似熵评估自主神经系统活动。[结果]在每个测量时间段，无效组通过去趋势波动分析获得的α值均显著高于对照组。对照组12例（85%）患者和无效组6例（42%）患者的近似熵正常；对照组2例（15%）患者和无效组8例（58%）患者的近似熵异常。[结论]在经历夜间疼痛的患者中，有若干患者在等长握力期间存在异常自主神经反应。
